Individual provider Active NPI

Srujani Gaddam, MD

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1497906093
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME125820 Issued in FL
Practice address
175 W Pine Ave
Longwood, FL 32750-4168
Phone
(321) 207-0172
Fax
(321) 201-0175
NPI assigned
Oct 2, 2008
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME125820 FL Primary
Hospitalist Physician 208M00000X ME125820 FL

Addresses

Primary practice location

175 W Pine Ave
Longwood, FL 32750-4168

Mailing address

PO Box 616788
Orlando, FL 32861-6788
Phone (407) 533-6835

Other practice location 1

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210
Phone (407) 652-7026

Other identifiers 1

IdentifierTypeStateIssuer
110748300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srujani.gaddam@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000730 FL Practitioner - Internal Medicine 2961547963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-1996

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125820FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Feb 5, 2016 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Feb 5, 2016 Accepting new patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince Nov 18, 2018 Accepting new patients
Orlando Inpatient Medicine, PA Internal Medicine CurrentSince Feb 8, 2016 Accepting new patients

Locations

2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone (407) 607-7000

175 W Pine Ave
Longwood, FL 32750
Phone (321) 207-0172

1507 S Hiawassee Rd
Ste 107
Orlando, FL 32835
Phone (407) 445-9545

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Interoperability endpoints

  • Direct secure messaging: srujani.gaddam@393409484357636.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1497906093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-533-6835",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W PINE AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504168",
            "telephone_number": "321-207-0172",
            "fax_number": "321-201-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Ocoee Apopka Rd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327039210",
            "country_code": "US",
            "telephone_number": "407-652-7026",
            "fax_number": "407-652-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDAM",
        "first_name": "SRUJANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125820",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME125820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110748300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srujani.gaddam@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7649 W Colonial Dr Ste 115",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328187423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.